NPI | 1730654815 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R243625) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 7702) |
Enumeration Date | 2018-10-04 |
Last Update Date | 2022-11-14 |