NPI | 1710530324 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP022855) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA rn695767) |
Enumeration Date | 2019-07-23 |
Last Update Date | 2021-06-07 |