NPI | 1093323461 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS BOON-63OKMA) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 28110) |
Enumeration Date | 2020-07-21 |
Last Update Date | 2022-08-02 |