NPI | 1295254969 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WI 10736) |
Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: WI 127818) |
Enumeration Date | 2017-09-14 |
Last Update Date | 2021-03-18 |