NPI | 1538872932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 905730) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 905730) |
Enumeration Date | 2022-12-30 |
Last Update Date | 2025-03-25 |