NPI | 1902267214 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP1719A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID NP-1719A) |
Enumeration Date | 2016-03-14 |
Last Update Date | 2025-07-22 |