NPI | 1932559275 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A107012) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A107012) |
Enumeration Date | 2016-06-17 |
Last Update Date | 2023-06-16 |