NPI | 1710527650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: LA 210944) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 11040195) |
Enumeration Date | 2020-01-08 |
Last Update Date | 2025-06-20 |