NPI | 1972240588 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: MD R219819) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MD R219819) |
363LF0000X Nurse Practitioner Family (Licence: MD R219819) | |
363LP0200X Nurse Practitioner Pediatrics (Licence: MD R219819) | |
363LP1700X Nurse Practitioner Perinatal (Licence: MD R219819) | |
363LW0102X Nurse Practitioner Women's Health (Licence: MD R219819) | |
Enumeration Date | 2022-05-16 |
Last Update Date | 2022-05-16 |