NPI | 1598289266 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 077428-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9308682) |
Enumeration Date | 2017-08-03 |
Last Update Date | 2022-07-21 |