NPI | 1760115067 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11020636) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 658779) |
Enumeration Date | 2022-07-05 |
Last Update Date | 2022-07-06 |