NPI | 1700545209 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 71537) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 51885) |
Enumeration Date | 2021-12-12 |
Last Update Date | 2022-02-02 |