NPI | 1780392852 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017208) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 236266) |
Enumeration Date | 2022-11-08 |
Last Update Date | 2024-10-15 |