NPI | 1235896150 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015695) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NC 283545) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-11-27 |
Last Update Date | 2022-01-31 |