NPI | 1922655810 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R212335) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD r212335) |
Enumeration Date | 2019-08-24 |
Last Update Date | 2024-04-29 |