NPI | 1699359786 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: ID 57552) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 57552) |
Enumeration Date | 2021-05-06 |
Last Update Date | 2023-11-03 |