NPI | 1003650482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 115343) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 96808) |
163W00000X Registered Nurse (Licence: NY 761618) | |
Enumeration Date | 2024-06-21 |
Last Update Date | 2024-06-21 |