NPI | 1467187120 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 226581) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 226581) |
Enumeration Date | 2022-07-18 |
Last Update Date | 2024-12-03 |