NPI | 1124793005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11154-33) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WI 11154-33) |
Enumeration Date | 2021-08-12 |
Last Update Date | 2023-07-27 |