NPI | 1437858701 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11024597) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9423835) |
163WW0000X Registered Nurse, Wound Care (Licence: FL 5051304) | |
Enumeration Date | 2023-02-27 |
Last Update Date | 2023-03-07 |