NPI | 1447867718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016511) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024180265) |
Enumeration Date | 2020-09-30 |
Last Update Date | 2023-07-25 |