NPI | 1073572004 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 1363) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 105239) |
Enumeration Date | 2006-03-20 |
Last Update Date | 2024-09-05 |