NPI | 1447836135 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: DE LG-0011818) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R085703) |
Enumeration Date | 2021-03-22 |
Last Update Date | 2023-04-11 |