NPI | 1841010824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 322471) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 9281820-4405) |
Enumeration Date | 2024-10-14 |
Last Update Date | 2025-07-16 |