NPI | 1134808819 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA 231107) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA 231107) |
363L00000X Nurse Practitioner (Licence: AR 228078) | |
Enumeration Date | 2023-07-11 |
Last Update Date | 2024-05-28 |