NPI | 1841844222 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R205621) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD r205621) |
Enumeration Date | 2019-07-24 |
Last Update Date | 2021-11-11 |