NPI | 1598366239 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11022761) |
Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: FL RN9362690) |
Enumeration Date | 2020-11-07 |
Last Update Date | 2024-09-27 |