NPI | 1053505180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-099105) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS R877190) |
363L00000X Nurse Practitioner (Licence: FL ARNP9312984) | |
Enumeration Date | 2007-08-31 |
Last Update Date | 2021-01-25 |