NPI | 1447926852 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 65313) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM F08210364) |
Enumeration Date | 2021-08-17 |
Last Update Date | 2021-11-09 |