NPI | 1295232510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 115792) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 88549) |
Enumeration Date | 2018-04-12 |
Last Update Date | 2025-02-04 |