NPI | 1578345708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 075762-23) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 075762-21) |
Enumeration Date | 2023-10-23 |
Last Update Date | 2025-04-07 |