NPI | 1730966292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5018783) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC EDGE-LYWQZ) |
Enumeration Date | 2023-09-11 |
Last Update Date | 2025-05-12 |