NPI | 1356118392 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 114915) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NE 84318) |
Enumeration Date | 2023-12-11 |
Last Update Date | 2023-12-11 |