NPI | 1073261905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 084495-23) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 084495-21) |
Enumeration Date | 2022-03-10 |
Last Update Date | 2024-01-12 |