NPI | 1104595834 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0010453) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0052533) |
Enumeration Date | 2021-09-07 |
Last Update Date | 2021-09-07 |