NPI | 1073022356 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8040-33) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 8040-33) |
Enumeration Date | 2017-09-29 |
Last Update Date | 2022-06-21 |