NPI | 1285171694 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 20150) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 20150) |
163WC1500X Registered Nurse, Community Health (Licence: SC 20150) | |
Enumeration Date | 2017-01-23 |
Last Update Date | 2023-06-28 |