NPI | 1295541514 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 906724) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 237018) |
Enumeration Date | 2024-12-10 |
Last Update Date | 2025-06-03 |