NPI | 1871215897 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2022033500) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022033500) |
Enumeration Date | 2022-09-15 |
Last Update Date | 2024-10-07 |