NPI | 1215246558 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5004888) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5004888) |
Enumeration Date | 2010-10-05 |
Last Update Date | 2024-07-15 |