NPI | 1386339729 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LX0106X Nurse Practitioner Occupational Health (Licence: FL 11024892) |
Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: FL 11024892) |
Enumeration Date | 2023-04-11 |
Last Update Date | 2023-04-11 |