NPI | 1922532928 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R188055) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R188055) |
Enumeration Date | 2017-04-17 |
Last Update Date | 2024-08-23 |