NPI | 1881151157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 9090-33) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 9090-33) |
Enumeration Date | 2019-02-22 |
Last Update Date | 2023-10-16 |