NPI | 1396423984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11029177) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: FL RN9606332) |
Enumeration Date | 2023-07-05 |
Last Update Date | 2023-10-13 |