NPI | 1053755223 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H164740) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AZ LP047069) |
176B00000X Midwife (Licence: AZ LM188) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: IA 147175) | |
Enumeration Date | 2013-04-18 |
Last Update Date | 2023-04-18 |