NPI | 1922673326 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1039953) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1039953) |
Enumeration Date | 2021-05-26 |
Last Update Date | 2021-08-30 |