NPI | 1679028260 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP08806) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08806) |
Enumeration Date | 2016-08-24 |
Last Update Date | 2023-03-24 |