NPI | 1609400159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD R140651) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R140651) |
Enumeration Date | 2020-02-24 |
Last Update Date | 2020-05-03 |