NPI | 1730785098 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-120050) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AL 1-120050) |
Enumeration Date | 2020-12-10 |
Last Update Date | 2023-04-13 |