NPI | 1326775156 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 035933-23) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 065933-23) |
Enumeration Date | 2022-08-02 |
Last Update Date | 2022-09-13 |