NPI | 1215331996 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004221) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A004221) |
Enumeration Date | 2014-10-09 |
Last Update Date | 2025-06-30 |