NPI | 1689002495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A157737) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA L091403) |
Enumeration Date | 2013-10-15 |
Last Update Date | 2025-02-11 |