NPI | 1407352149 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 21818) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 226087) |
Enumeration Date | 2018-04-02 |
Last Update Date | 2024-12-03 |