NPI | 1013457050 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R201878) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R201878) |
Enumeration Date | 2017-02-23 |
Last Update Date | 2021-09-21 |