NPI | 1770049124 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 231536) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9459787) |
Enumeration Date | 2019-02-11 |
Last Update Date | 2023-07-18 |