NPI | 1790437275 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5018417) |
Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: NC 272436) |
Enumeration Date | 2022-01-25 |
Last Update Date | 2023-09-07 |