NPI | 1801910237 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9373538) |
Additional Taxonomies | 163WX0106X Registered Nurse, Occupational Health (Licence: FL 9373538) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2019-05-21 |