NPI | 1093591315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP003003) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A176037) |
363L00000X Nurse Practitioner (Licence: NE 115028) | |
Enumeration Date | 2023-09-01 |
Last Update Date | 2024-06-04 |