NPI | 1639803117 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R29899) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 9450) |
Enumeration Date | 2022-07-12 |
Last Update Date | 2022-09-26 |