NPI | 1932525722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11001529) |
Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: FL 9222281) |
Enumeration Date | 2014-03-17 |
Last Update Date | 2023-03-29 |