NPI | 1093273872 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-150755) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-150755) |
363LF0000X Nurse Practitioner, Family (Licence: CT 13110) | |
Enumeration Date | 2019-03-11 |
Last Update Date | 2024-05-07 |