NPI | 1053913376 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5017586) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 358538) |
Enumeration Date | 2020-11-11 |
Last Update Date | 2024-08-16 |