NPI | 1447925714 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014964) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 295400) |
Enumeration Date | 2021-08-10 |
Last Update Date | 2021-09-01 |