NPI | 1053139451 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC F10240003) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 338922) |
Enumeration Date | 2024-10-03 |
Last Update Date | 2024-10-13 |