NPI | 1841922937 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 905409) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MS 917930) |
Enumeration Date | 2022-06-27 |
Last Update Date | 2022-06-30 |