NPI | 1144934688 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5017479) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F10220138) |
Enumeration Date | 2023-01-10 |
Last Update Date | 2024-04-15 |