NPI | 1033868369 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 11872-33) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A168122) |
Enumeration Date | 2022-03-23 |
Last Update Date | 2022-08-02 |