NPI | 1164879243 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 085819-23) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 255497) |
363LF0000X Nurse Practitioner, Family (Licence: GA RN255497) | |
Enumeration Date | 2016-05-19 |
Last Update Date | 2021-08-20 |