NPI | 1851856165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP019966) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP019966) |
Enumeration Date | 2019-01-31 |
Last Update Date | 2024-07-31 |