NPI | 1740842939 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 241368) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN234591) |
Enumeration Date | 2019-07-08 |
Last Update Date | 2022-07-18 |