NPI | 1942919667 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP026483) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA NPPA057293) |
Enumeration Date | 2022-11-21 |
Last Update Date | 2023-09-12 |