NPI | 1083133417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5009884) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC YAND-15X4Y2) |
Enumeration Date | 2017-09-18 |
Last Update Date | 2023-07-11 |