NPI | 1235741109 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS F02210788) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 904483) |
163W00000X Registered Nurse (Licence: MS R894543) | |
Enumeration Date | 2020-08-20 |
Last Update Date | 2025-09-01 |