NPI | 1962286815 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 200164) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA 200164) |
Enumeration Date | 2023-08-22 |
Last Update Date | 2023-10-26 |