NPI | 1932863636 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 111318) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 111318) |
Enumeration Date | 2021-10-28 |
Last Update Date | 2021-10-28 |