NPI | 1659044113 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11014658) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11014658) |
Enumeration Date | 2021-07-29 |
Last Update Date | 2024-10-25 |