NPI | 1245861517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11007492) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 3397652) |
Enumeration Date | 2020-01-27 |
Last Update Date | 2020-06-11 |