NPI | 1669079356 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25250) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024181054) |
363LF0000X Nurse Practitioner, Family (Licence: NC DEVA-TUJ22) | |
Enumeration Date | 2020-10-06 |
Last Update Date | 2023-06-15 |