NPI | 1740955400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC 0024182369) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024182369) |
Enumeration Date | 2021-08-13 |
Last Update Date | 2022-08-03 |