NPI | 1568190759 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 9420228) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 9420228) |
Enumeration Date | 2022-08-15 |
Last Update Date | 2022-08-15 |