NPI | 1922799501 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP027349) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012350) |
Enumeration Date | 2023-05-16 |
Last Update Date | 2023-05-16 |