NPI | 1194105171 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-134653) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 318519) |
Enumeration Date | 2015-06-04 |
Last Update Date | 2025-08-27 |