NPI | 1730829078 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022008232) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2022008232) |
Enumeration Date | 2022-04-01 |
Last Update Date | 2025-09-18 |