NPI | 1467171447 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-106774) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL F0622077) |
Enumeration Date | 2022-08-24 |
Last Update Date | 2025-05-20 |