NPI | 1316655335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 090171-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH NH) |
Enumeration Date | 2022-11-08 |
Last Update Date | 2024-09-10 |