NPI | 1598517443 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024013549) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5383137) |
Enumeration Date | 2024-04-03 |
Last Update Date | 2024-05-08 |