NPI | 1801307038 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2019033707) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019033707) |
Enumeration Date | 2017-10-16 |
Last Update Date | 2024-04-25 |