NPI | 1609543925 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP024418) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA MZ6755598) |
363LF0000X Nurse Practitioner, Family (Licence: MD R177863) | |
Enumeration Date | 2021-08-25 |
Last Update Date | 2023-08-03 |