NPI | 1689357394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 14644) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 256587) |
Enumeration Date | 2023-08-09 |
Last Update Date | 2023-10-23 |