NPI | 1730600974 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017018174) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2017018174) |
Enumeration Date | 2017-06-28 |
Last Update Date | 2024-10-15 |