NPI | 1699424523 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 224446) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 224446) |
Enumeration Date | 2022-03-19 |
Last Update Date | 2023-11-14 |