NPI | 1386529808 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND 203157) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: ND 203157) |
363LF0000X Nurse Practitioner, Family (Licence: ND 203157) | |
Enumeration Date | 2025-08-06 |
Last Update Date | 2025-09-12 |