NPI | 1427933050 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11042145) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9426663) |
Enumeration Date | 2025-08-11 |
Last Update Date | 2025-09-26 |