NPI | 1841831690 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5012352) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5012352) |
Enumeration Date | 2019-10-02 |
Last Update Date | 2022-10-03 |