NPI | 1205112877 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4646) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 163216) |
Enumeration Date | 2011-10-27 |
Last Update Date | 2023-04-18 |