NPI | 1770950594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DE LG-0011811) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0047114) |
Enumeration Date | 2015-08-27 |
Last Update Date | 2023-03-17 |