NPI | 1437758489 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 53890) |
Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: ID 53890) |
Enumeration Date | 2020-10-21 |
Last Update Date | 2021-05-04 |