NPI | 1700446200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP001578) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001578) |
Enumeration Date | 2019-06-17 |
Last Update Date | 2023-03-18 |