NPI | 1487382636 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC F08220083) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 274767) |
Enumeration Date | 2022-08-14 |
Last Update Date | 2022-08-14 |