NPI | 1316290935 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 907600) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R876299) |
376J00000X Homemaker | |
376K00000X Nurse's Aide | |
Enumeration Date | 2012-10-19 |
Last Update Date | 2025-07-31 |