NPI | 1376209205 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 329112-4405) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 329112-4405) |
Enumeration Date | 2021-11-15 |
Last Update Date | 2023-05-05 |