NPI | 1871199026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 10484809-4405) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD R235108) |
Enumeration Date | 2020-12-11 |
Last Update Date | 2024-04-08 |