NPI | 1134548472 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306858) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP131866) |
Enumeration Date | 2014-04-15 |
Last Update Date | 2021-11-10 |