NPI | 1326490798 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AR A004795) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A004795) |
Enumeration Date | 2016-07-08 |
Last Update Date | 2023-03-07 |