NPI | 1750884458 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD F02210275) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 873086) |
Enumeration Date | 2018-03-09 |
Last Update Date | 2021-02-18 |