NPI | 1629409552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 1485952) |
Additional Taxonomies | 174H00000X Health Educator |
Enumeration Date | 2013-12-03 |
Last Update Date | 2024-02-21 |