NPI | 1487491551 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 120333) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: WV 120333) |
Enumeration Date | 2024-07-15 |
Last Update Date | 2024-08-29 |