NPI | 1508614397 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 115456) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 81706) |
Enumeration Date | 2024-05-08 |
Last Update Date | 2024-07-02 |