NPI | 1942060686 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 15198-33) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 246279-30) |
Enumeration Date | 2024-03-20 |
Last Update Date | 2024-04-05 |