NPI | 1720660921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 113758) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NE 74070) |
Enumeration Date | 2021-04-27 |
Last Update Date | 2022-03-08 |