NPI | 1831975507 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 27874) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 27874) |
Enumeration Date | 2023-09-07 |
Last Update Date | 2023-09-11 |