NPI | 1861091340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 291442) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN291442) |
Enumeration Date | 2020-10-26 |
Last Update Date | 2022-09-07 |