NPI | 1073381653 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11030045) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9531835) |
Enumeration Date | 2023-12-13 |
Last Update Date | 2023-12-13 |