NPI | 1609331495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 069865-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH F01191890) |
Enumeration Date | 2019-02-05 |
Last Update Date | 2023-06-05 |