NPI | 1306661921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 318624) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 12931174-4405) |
Enumeration Date | 2024-11-19 |
Last Update Date | 2025-04-09 |