NPI | 1295220036 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 082101-23) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R198130) |
363LF0000X Nurse Practitioner, Family (Licence: NH 82101-23) | |
Enumeration Date | 2018-06-25 |
Last Update Date | 2020-10-01 |