NPI | 1487246393 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-137366) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-137366) |
Enumeration Date | 2021-02-11 |
Last Update Date | 2024-02-05 |