NPI | 1134016207 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 30574) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 247924) |
Enumeration Date | 2025-06-21 |
Last Update Date | 2025-08-09 |