NPI | 1194595579 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 113132) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A177159) |
Enumeration Date | 2024-01-05 |
Last Update Date | 2024-01-05 |