NPI | 1275018434 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 28436) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9319691) |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9319691) | |
Enumeration Date | 2018-10-03 |
Last Update Date | 2024-08-08 |