NPI | 1295465797 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 197411) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO pending) |
Enumeration Date | 2022-06-16 |
Last Update Date | 2023-02-03 |