NPI | 1992421853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017046) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 5017046) |
Enumeration Date | 2022-10-12 |
Last Update Date | 2024-04-11 |