NPI | 1932917309 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9667990) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9667990) |
Enumeration Date | 2024-12-18 |
Last Update Date | 2025-10-02 |