NPI | 1699315531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71012400A) |
Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: KY F12190904) |
Enumeration Date | 2020-01-08 |
Last Update Date | 2022-03-23 |