NPI | 1417501024 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: ID 62301) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 62301) |
Enumeration Date | 2019-07-31 |
Last Update Date | 2022-08-31 |