NPI | 1851153332 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PR 2023152568) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PR 2023152568) |
Enumeration Date | 2024-01-29 |
Last Update Date | 2024-01-29 |