NPI | 1598342149 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014278) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 24740) |
Enumeration Date | 2021-03-28 |
Last Update Date | 2021-04-08 |