NPI | 1902590185 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 14057-33) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: WI 172560-30) |
Enumeration Date | 2023-06-08 |
Last Update Date | 2024-09-09 |