NPI | 1134873870 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26997) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F02220496) |
Enumeration Date | 2022-02-11 |
Last Update Date | 2024-07-10 |