NPI | 1578218400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R224466) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R224466) |
363L00000X Nurse Practitioner (Licence: MD R224466) | |
Enumeration Date | 2022-02-18 |
Last Update Date | 2024-07-18 |