NPI | 1124702121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R259133) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R259133) |
Enumeration Date | 2023-06-12 |
Last Update Date | 2023-07-13 |