NPI | 1831857895 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NC F04210512) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015858) |
Enumeration Date | 2021-12-07 |
Last Update Date | 2024-10-31 |