NPI | 1235801622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP024898) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN662424) |
Enumeration Date | 2021-10-04 |
Last Update Date | 2021-11-29 |