NPI | 1447781448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A131906) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA A131906) |
Enumeration Date | 2017-03-22 |
Last Update Date | 2024-07-13 |