NPI | 1437789682 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5012752) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 146663) |
Enumeration Date | 2020-01-16 |
Last Update Date | 2022-10-13 |