NPI | 1467096263 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 214077) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: LA 135917) |
Enumeration Date | 2019-11-05 |
Last Update Date | 2023-04-21 |