NPI | 1831504638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004108) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WY 54190) |
Enumeration Date | 2014-07-01 |
Last Update Date | 2025-09-19 |