NPI | 1649806050 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 829693) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014209) |
Enumeration Date | 2020-03-17 |
Last Update Date | 2023-01-06 |