NPI | 1831661917 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013700) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008650A) |
Enumeration Date | 2018-12-29 |
Last Update Date | 2023-07-05 |