NPI | 1932645256 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 9125694-4405) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: UT 9125694-4402) |
Enumeration Date | 2017-01-10 |
Last Update Date | 2022-02-17 |