NPI | 1023275138 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 600091) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 33822) |
Enumeration Date | 2008-05-19 |
Last Update Date | 2024-06-26 |