NPI | 1942952767 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11017631) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95025094) |
Enumeration Date | 2022-01-23 |
Last Update Date | 2023-11-28 |