NPI | 1437804085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5015772) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024186817) |
363LF0000X Nurse Practitioner, Family (Licence: NC DOSS-ABKJG) | |
Enumeration Date | 2022-02-12 |
Last Update Date | 2023-11-16 |