NPI | 1881458412 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 29039) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0001265326) |
Enumeration Date | 2024-02-13 |
Last Update Date | 2024-07-30 |