NPI | 1700446234 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 22947) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 22947) |
363LF0000X Nurse Practitioner, Family (Licence: SC F05190737) | |
Enumeration Date | 2019-06-17 |
Last Update Date | 2022-11-01 |