NPI | 1427787373 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-159552) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 25728) |
Enumeration Date | 2022-06-07 |
Last Update Date | 2023-09-20 |