NPI | 1073269858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11019630) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9437207) |
Enumeration Date | 2022-03-01 |
Last Update Date | 2023-02-07 |