NPI | 1457943144 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014205) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
363LF0000X Nurse Practitioner, Family (Licence: NC F12200611) | |
Enumeration Date | 2021-02-04 |
Last Update Date | 2024-12-12 |