NPI | 1881283372 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5021761) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NC 322931) |
Enumeration Date | 2021-01-11 |
Last Update Date | 2025-07-15 |