NPI | 1235557885 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-113681) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT 193257) |
Enumeration Date | 2014-04-01 |
Last Update Date | 2024-10-03 |