NPI | 1497353973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC003660) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 28225364A) |
Enumeration Date | 2020-10-15 |
Last Update Date | 2021-07-13 |