NPI | 1548051907 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11036043) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 888566) |
Enumeration Date | 2025-05-15 |
Last Update Date | 2025-07-24 |