NPI | 1871160911 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP022468) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA SP022468) |
Enumeration Date | 2021-06-08 |
Last Update Date | 2021-11-16 |