NPI | 1336849553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO F02230649) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2023017038) |
Enumeration Date | 2023-03-07 |
Last Update Date | 2023-11-09 |