NPI | 1912520958 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5013183) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 245653) |
Enumeration Date | 2020-05-26 |
Last Update Date | 2023-12-01 |