NPI | 1740775444 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA f07180534) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA RN579397) |
Enumeration Date | 2018-06-25 |
Last Update Date | 2024-01-19 |