NPI | 1831782028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP023652) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 106936) |
Enumeration Date | 2021-02-18 |
Last Update Date | 2024-12-13 |