NPI | 1992480156 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11026997) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9389903) |
Enumeration Date | 2023-06-15 |
Last Update Date | 2023-06-16 |