NPI | 1114576006 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11003976) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL 9300765) |
Enumeration Date | 2019-09-04 |
Last Update Date | 2023-04-27 |