NPI | 1962191973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NM 73177) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NM 73177) |
Enumeration Date | 2023-05-04 |
Last Update Date | 2023-05-25 |