NPI | 1841939576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP026039) |
Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: PA RN661111) |
Enumeration Date | 2022-06-01 |
Last Update Date | 2023-08-02 |