NPI | 1023537263 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP001268) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ TEMP308456) |
Enumeration Date | 2017-09-19 |
Last Update Date | 2024-06-20 |