NPI | 1235782970 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 10025470) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 6687) |
Enumeration Date | 2019-07-22 |
Last Update Date | 2024-09-05 |