NPI | 1487336657 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 230177) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 158352) |
363LF0000X Nurse Practitioner, Family (Licence: LA 2023005906) | |
Enumeration Date | 2023-08-07 |
Last Update Date | 2023-08-07 |