NPI | 1316402514 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ F10180948) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN1940) |
Enumeration Date | 2019-02-01 |
Last Update Date | 2024-05-13 |