NPI | 1134505787 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9305033) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL RN9305033) |
Enumeration Date | 2015-08-05 |
Last Update Date | 2024-07-30 |