NPI | 1265143622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71013464A) |
Additional Taxonomies | 310400000X Assisted Living Facility |
Enumeration Date | 2022-12-07 |
Last Update Date | 2023-01-12 |