NPI | 1518699743 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2022023904) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022023904) |
Enumeration Date | 2022-06-27 |
Last Update Date | 2022-08-09 |