NPI | 1952181109 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 28621) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: SC 229543) |
Enumeration Date | 2023-10-04 |
Last Update Date | 2024-05-23 |