NPI | 1962286237 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10015485) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F08230430) |
Enumeration Date | 2023-08-18 |
Last Update Date | 2023-09-21 |