NPI | 1124712682 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP028888) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: PA RN664708) |
Enumeration Date | 2023-06-07 |
Last Update Date | 2024-06-11 |