NPI | 1457844573 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251S00000X (Licence: AL 1-139047) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-139047) |
Enumeration Date | 2018-06-13 |
Last Update Date | 2023-08-13 |