NPI | 1659138972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 11224) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 115224) |
Enumeration Date | 2024-03-04 |
Last Update Date | 2024-08-27 |