NPI | 1194431866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 237604) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 262337) |
Enumeration Date | 2023-01-26 |
Last Update Date | 2025-01-31 |