NPI | 1013356526 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9946) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 189711-30) |
363LF0000X Nurse Practitioner, Family (Licence: WI 9946) | |
Enumeration Date | 2013-06-18 |
Last Update Date | 2025-02-11 |