NPI | 1851899173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A005499) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR A005499) |
Enumeration Date | 2018-02-01 |
Last Update Date | 2022-10-21 |