NPI | 1881478873 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-139596) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 34412) |
Enumeration Date | 2023-08-22 |
Last Update Date | 2025-03-25 |