NPI | 1194383240 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PR 004536) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PR 083303) |
Enumeration Date | 2019-06-04 |
Last Update Date | 2023-12-04 |