NPI | 1699300350 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013879) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC RN-268083) |
Enumeration Date | 2020-03-03 |
Last Update Date | 2021-12-01 |