NPI | 1629664891 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 10621) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 10621-33) |
Enumeration Date | 2020-12-11 |
Last Update Date | 2024-10-03 |