NPI | 1144916362 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5017959) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC GRIM-E3OE6) |
Enumeration Date | 2023-04-12 |
Last Update Date | 2023-04-13 |