NPI | 1700474624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-150689) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-150689) |
363L00000X Nurse Practitioner (Licence: AL 1-150689) | |
Enumeration Date | 2021-01-06 |
Last Update Date | 2021-01-06 |