NPI | 1841717428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-56758) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID F06170932) |
Enumeration Date | 2017-08-24 |
Last Update Date | 2024-10-17 |