NPI | 1992309777 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0996067) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 0996067) |
Enumeration Date | 2020-11-23 |
Last Update Date | 2024-01-17 |