NPI | 1538620745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-159562) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-159562) |
363L00000X Nurse Practitioner (Licence: AL 1-159562) | |
Enumeration Date | 2019-03-29 |
Last Update Date | 2023-06-29 |