NPI | 1386272771 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R209342) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95066082) |
Enumeration Date | 2020-03-31 |
Last Update Date | 2021-08-24 |