NPI | 1790444081 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11020950) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PR 72635) |
Enumeration Date | 2021-12-14 |
Last Update Date | 2023-02-24 |