NPI | 1053691857 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP011568) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN568877) |
Enumeration Date | 2011-08-24 |
Last Update Date | 2020-12-30 |