NPI | 1699384537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 61916) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN-77571) |
Enumeration Date | 2020-07-27 |
Last Update Date | 2023-08-31 |