NPI | 1689436677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-4275-0) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-99856) |
Enumeration Date | 2024-01-25 |
Last Update Date | 2024-01-25 |