NPI | 1588285480 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014363) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 24594) |
Enumeration Date | 2020-05-01 |
Last Update Date | 2023-12-12 |