NPI | 1245057660 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 5661072) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 49336) |
Enumeration Date | 2024-09-25 |
Last Update Date | 2024-09-26 |