NPI | 1831834779 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R240918) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R240918) |
Enumeration Date | 2022-05-04 |
Last Update Date | 2023-11-15 |