NPI | 1225577661 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3493) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj00812200) |
163W00000X Registered Nurse (Licence: NY 22 714607) | |
363LF0000X Nurse Practitioner, Family (Licence: CA 95013080) | |
Enumeration Date | 2017-02-17 |
Last Update Date | 2022-06-21 |