NPI | 1891249009 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2023021237) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MO 2016027657) |
Enumeration Date | 2016-08-05 |
Last Update Date | 2024-07-02 |