NPI | 1326765298 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A171593) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IA A171593) |
Enumeration Date | 2022-10-21 |
Last Update Date | 2024-10-09 |