NPI | 1235686411 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 202101776NP-PP) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307808) |
Enumeration Date | 2016-09-06 |
Last Update Date | 2022-10-06 |