NPI | 1114404118 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8329-33) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 8329-33) |
363LP2300X Nurse Practitioner, Primary Care (Licence: WI 8329-33) | |
Enumeration Date | 2018-07-23 |
Last Update Date | 2021-01-13 |