NPI | 1174221824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11024645) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 13074-33) |
Enumeration Date | 2023-02-22 |
Last Update Date | 2023-02-22 |