NPI | 1326293176 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 6542-33) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 171349-30) |
363LF0000X Nurse Practitioner, Family (Licence: WI 6542 - 33) | |
Enumeration Date | 2008-11-20 |
Last Update Date | 2024-09-19 |