NPI | 1194282061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R242201) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5011514) |
Enumeration Date | 2019-02-26 |
Last Update Date | 2020-06-26 |