NPI | 1326787847 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017489) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 169119) |
Enumeration Date | 2022-06-02 |
Last Update Date | 2023-01-11 |