NPI | 1619624178 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11604) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 11604-33) |
Enumeration Date | 2022-03-04 |
Last Update Date | 2024-04-05 |