NPI | 1922873850 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WI 14583-33) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 14583-33) |
207QA0000X Family Medicine Adolescent Medicine (Licence: WI 14583-33) | |
207QA0505X Family Medicine Adult Medicine (Licence: WI 14583-33) | |
207QG0300X Family Medicine Geriatric Medicine (Licence: WI 14583-33) | |
363LP2300X Nurse Practitioner Primary Care (Licence: WI 14583-33) | |
Enumeration Date | 2023-11-21 |
Last Update Date | 2023-11-21 |