NPI | 1588285803 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 1637975) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CO 1637975) |
Enumeration Date | 2020-04-27 |
Last Update Date | 2022-09-26 |