NPI | 1942857529 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A159977) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA F06191468) |
363L00000X Nurse Practitioner (Licence: WI 9547-33) | |
Enumeration Date | 2019-08-20 |
Last Update Date | 2023-08-10 |