NPI | 1629815311 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020598) |
Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: NC 334052) |
Enumeration Date | 2024-07-10 |
Last Update Date | 2024-08-21 |