NPI | 1528743671 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD AC006594) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11026743) |
Enumeration Date | 2023-06-16 |
Last Update Date | 2024-06-18 |