NPI | 1053611756 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 07484923) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA rn2292007) |
363L00000X Nurse Practitioner (Licence: WA AP60573927) | |
Enumeration Date | 2010-10-27 |
Last Update Date | 2024-09-11 |