NPI | 1780453068 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5019354) |
Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: NC 283728) |
Enumeration Date | 2023-12-27 |
Last Update Date | 2024-01-02 |