NPI | 1033593405 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H128330) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H128330) |
Enumeration Date | 2015-07-16 |
Last Update Date | 2023-12-15 |