NPI | 1871249581 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 224453) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 2022002967) |
Enumeration Date | 2022-02-22 |
Last Update Date | 2022-09-07 |