NPI | 1609532720 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 080401-23) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 080401-21) |
Enumeration Date | 2021-11-12 |
Last Update Date | 2022-06-30 |