NPI | 1164948105 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 902449) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 895121) |
Enumeration Date | 2017-08-22 |
Last Update Date | 2022-07-21 |