NPI | 1710228978 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 5006095) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 257372) |
363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5006095) | |
Enumeration Date | 2013-03-12 |
Last Update Date | 2024-03-22 |