NPI | 1427725795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 11747-33) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 184403-30) |
Enumeration Date | 2021-08-25 |
Last Update Date | 2023-05-15 |