NPI | 1629552351 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: FL 9424368) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ARNP9303071) |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9303071) | |
Enumeration Date | 2018-09-19 |
Last Update Date | 2025-01-23 |