NPI | 1730968322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DE LG-0012474) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0012474) |
Enumeration Date | 2023-09-25 |
Last Update Date | 2024-06-03 |