NPI | 1780269795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0995900) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1670191) |
Enumeration Date | 2021-03-11 |
Last Update Date | 2021-03-11 |