NPI | 1326734096 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 837640) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 9798292-4405) |
Enumeration Date | 2023-04-14 |
Last Update Date | 2024-01-22 |