NPI | 1689224016 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 2019052633) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AL 1-147338) |
Enumeration Date | 2019-09-17 |
Last Update Date | 2023-06-29 |