NPI | 1114526084 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 1114526084) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NC 186300) |
208D00000X General Practice (Licence: NC 1114526084) | |
Enumeration Date | 2020-10-22 |
Last Update Date | 2023-07-06 |