NPI | 1003213901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 11193762-4405) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP013990) |
Enumeration Date | 2014-11-21 |
Last Update Date | 2020-03-26 |