NPI | 1679228332 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011913) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0046662) |
Enumeration Date | 2022-02-21 |
Last Update Date | 2022-03-02 |