NPI | 1366234601 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP032853) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA NPPA068616) |
Enumeration Date | 2025-05-21 |
Last Update Date | 2025-05-21 |