NPI | 1952906737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001900) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: SD CP001900) |
Enumeration Date | 2020-12-01 |
Last Update Date | 2021-04-08 |