NPI | 1275305567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020592) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 288336) |
Enumeration Date | 2023-10-30 |
Last Update Date | 2024-08-07 |