NPI | 1700405685 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R41939) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R41939) |
Enumeration Date | 2020-04-10 |
Last Update Date | 2022-09-19 |