NPI | 1114157641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71004983A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9239834) |
Enumeration Date | 2009-07-17 |
Last Update Date | 2024-03-07 |