NPI | 1497542856 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11038519) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9646117) |
Enumeration Date | 2025-04-21 |
Last Update Date | 2025-04-21 |