NPI | 1134796584 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 220854) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN141159) |
Enumeration Date | 2021-06-04 |
Last Update Date | 2022-10-25 |