NPI | 1508467523 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11029711) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9432156) |
Enumeration Date | 2020-11-05 |
Last Update Date | 2024-01-14 |