NPI | 1619457363 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 53823) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 53823) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-08-21 |
Last Update Date | 2023-03-20 |