NPI | 1467220681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2023048921) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2023048921) |
Enumeration Date | 2023-12-18 |
Last Update Date | 2024-08-21 |