NPI | 1598574949 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC007471) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: DC RN1061583) |
Enumeration Date | 2024-12-31 |
Last Update Date | 2025-04-28 |