NPI | 1295279156 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5014445) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NM CNP-03126) |
Enumeration Date | 2016-12-12 |
Last Update Date | 2021-06-11 |