NPI | 1033748926 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-162524) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-162524) |
Enumeration Date | 2020-04-03 |
Last Update Date | 2024-02-01 |