NPI | 1144671538 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA AP09255) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IA H134109) |
363LP2300X Nurse Practitioner, Primary Care (Licence: MS 904776) | |
Enumeration Date | 2016-06-27 |
Last Update Date | 2022-07-21 |