NPI | 1194435974 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9538574) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11042444) |
Enumeration Date | 2022-12-01 |
Last Update Date | 2025-10-02 |