NPI | 1093265902 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0000178) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP016557) |
Enumeration Date | 2016-10-04 |
Last Update Date | 2024-02-10 |