NPI | 1649792888 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009648) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5009648) |
Enumeration Date | 2017-07-10 |
Last Update Date | 2023-03-07 |