NPI | 1447862909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24315) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: SC 244339) |
Enumeration Date | 2020-08-17 |
Last Update Date | 2022-11-01 |