NPI | 1922728443 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R188297) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD RI88297) |
Enumeration Date | 2022-09-02 |
Last Update Date | 2023-10-30 |