NPI | 1295288686 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9520699) |
Additional Taxonomies | 176B00000X Midwife (Licence: FL MW356) |
246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: FL 16-273) | |
363L00000X Nurse Practitioner (Licence: FL 11019061) | |
Enumeration Date | 2016-08-02 |
Last Update Date | 2022-06-06 |