NPI | 1811403165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 3826) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 95733) |
Enumeration Date | 2017-12-22 |
Last Update Date | 2022-10-18 |