NPI | 1295456184 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA A170959) |
Additional Taxonomies | 208D00000X General Practice (Licence: IA A170959) |
363LF0000X Nurse Practitioner, Family (Licence: IA A170959) | |
Enumeration Date | 2022-09-08 |
Last Update Date | 2022-10-19 |