NPI | 1659048403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 070526-23) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 070526-23) |
Enumeration Date | 2021-08-27 |
Last Update Date | 2024-02-21 |