NPI | 1639704471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 8884608-4405) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 8884608-4405) |
Enumeration Date | 2020-03-11 |
Last Update Date | 2023-11-27 |