NPI | 1487311023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 227156) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN143398) |
Enumeration Date | 2021-11-18 |
Last Update Date | 2022-12-08 |