NPI | 1033765409 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP020634) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN563467) |
363LF0000X Nurse Practitioner, Family (Licence: PA SP020634) | |
Enumeration Date | 2019-08-12 |
Last Update Date | 2021-08-12 |