NPI | 1457835399 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 902704) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MS 902704) |
Enumeration Date | 2018-09-17 |
Last Update Date | 2023-06-26 |