NPI | 1033859152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R218499) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310577) |
Enumeration Date | 2022-03-29 |
Last Update Date | 2023-12-08 |