NPI | 1447920178 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 65029) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1046932) |
Enumeration Date | 2021-09-14 |
Last Update Date | 2021-09-14 |