NPI | 1144976937 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5015860) |
Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: NC 271427) |
Enumeration Date | 2022-03-01 |
Last Update Date | 2022-03-01 |