NPI | 1295863306 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 201019) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 064856) |
Enumeration Date | 2007-03-01 |
Last Update Date | 2021-08-18 |