NPI | 1093407694 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 27618) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: SC 247546) |
Enumeration Date | 2023-05-22 |
Last Update Date | 2023-07-28 |