NPI | 1902499189 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26336) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: SC 80578) |
Enumeration Date | 2021-02-18 |
Last Update Date | 2023-08-28 |