NPI | 1346850906 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24316) |
Additional Taxonomies | 163WC3500X Registered Nurse, Cardiac Rehabilitation (Licence: SC 224570) |
Enumeration Date | 2020-08-07 |
Last Update Date | 2022-11-08 |