NPI | 1407503840 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 085686-23) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NH 085686-21) |
Enumeration Date | 2022-03-06 |
Last Update Date | 2022-12-06 |