NPI | 1467050674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 205518) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A159716) |
Enumeration Date | 2020-10-12 |
Last Update Date | 2023-04-27 |