NPI | 1023674025 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 906029) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9510087) |
Enumeration Date | 2019-05-15 |
Last Update Date | 2023-07-28 |