NPI | 1750708335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014003279) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2014003279) |
363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2014113279) | |
Enumeration Date | 2014-03-21 |
Last Update Date | 2022-10-18 |