NPI | 1326796921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1052511) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-164680) |
Enumeration Date | 2022-03-13 |
Last Update Date | 2024-02-01 |