NPI | 1992410237 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 202989) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 103124) |
Enumeration Date | 2023-01-20 |
Last Update Date | 2023-03-14 |