NPI | 1831600410 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 339749) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 661151) |
363L00000X Nurse Practitioner (Licence: TX 661151) | |
363LF0000X Nurse Practitioner, Family (Licence: TX 661151) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: TX 5009996) | |
Enumeration Date | 2017-10-23 |
Last Update Date | 2022-02-16 |