NPI | 1366120149 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD r223574) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R223574) |
Enumeration Date | 2023-07-10 |
Last Update Date | 2024-08-16 |