NPI | 1518554617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013965) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC F08200300) |
Enumeration Date | 2020-12-23 |
Last Update Date | 2023-07-13 |