NPI | 1770360380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP028270) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN695924) |
Enumeration Date | 2023-09-08 |
Last Update Date | 2023-09-20 |