NPI | 1831626837 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 079739-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006538) |
363L00000X Nurse Practitioner (Licence: CA 95006538) | |
Enumeration Date | 2017-05-22 |
Last Update Date | 2024-05-31 |