NPI | 1467705467 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005830) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 5005830) |
Enumeration Date | 2012-10-16 |
Last Update Date | 2022-01-11 |