NPI | 1568135465 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-140501) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-140501) |
Enumeration Date | 2021-07-27 |
Last Update Date | 2022-12-22 |