NPI | 1164314068 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11040805) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9576381) |
Enumeration Date | 2025-07-16 |
Last Update Date | 2025-07-21 |