NPI | 1982479069 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5019855) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC HERG-6GVXT) |
Enumeration Date | 2023-11-20 |
Last Update Date | 2024-07-15 |