NPI | 1952515777 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A02920) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: AR A002920) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2025-04-29 |