NPI | 1053808360 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9338936) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9338936) |
Enumeration Date | 2018-04-23 |
Last Update Date | 2023-06-21 |