NPI | 1164006656 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 3286) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 97054) |
Enumeration Date | 2021-05-10 |
Last Update Date | 2021-09-16 |