NPI | 1194247288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7754) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 7754-33) |
363L00000X Nurse Practitioner (Licence: WI 218863) | |
Enumeration Date | 2017-07-11 |
Last Update Date | 2021-11-24 |