NPI | 1669259834 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 59015) |
Additional Taxonomies | 163WH0500X Registered Nurse, Hemodialysis (Licence: HI 59015) |
Enumeration Date | 2023-09-12 |
Last Update Date | 2024-04-09 |