NPI | 1275196636 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-135700) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-35700) |
Enumeration Date | 2019-04-20 |
Last Update Date | 2024-02-15 |