NPI | 1306516265 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11332-33) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 11145) |
363LF0000X Nurse Practitioner, Family (Licence: MN 11145) | |
Enumeration Date | 2021-09-14 |
Last Update Date | 2024-09-13 |