NPI | 1891397113 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020034554) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5381461) |
Enumeration Date | 2020-11-11 |
Last Update Date | 2022-09-12 |