NPI | 1164236519 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO F06242160) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1663329) |
Enumeration Date | 2025-02-05 |
Last Update Date | 2025-06-26 |