NPI | 1235727686 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5014041) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 263284) |
363L00000X Nurse Practitioner (Licence: NC F01210773) | |
Enumeration Date | 2020-12-31 |
Last Update Date | 2024-07-29 |