NPI | 1750057600 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 059310-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 059310-21) |
Enumeration Date | 2021-08-20 |
Last Update Date | 2021-09-01 |