NPI | 1801595848 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R187388) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R187388) |
Enumeration Date | 2023-02-28 |
Last Update Date | 2025-03-12 |