NPI | 1124880943 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC F03240596) |
Additional Taxonomies | 175T00000X Peer Specialist |
163W00000X Registered Nurse (Licence: NC 200611) | |
Enumeration Date | 2024-01-26 |
Last Update Date | 2024-05-07 |