NPI | 1043086796 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-166699) |
Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
Enumeration Date | 2023-12-04 |
Last Update Date | 2024-02-28 |