NPI | 1942965843 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3918) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA 61233209) |
Enumeration Date | 2021-11-04 |
Last Update Date | 2023-02-20 |