NPI | 1679050157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 29978) |
Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: SC 207842) |
Enumeration Date | 2018-07-26 |
Last Update Date | 2025-07-01 |