NPI | 1316480999 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016851) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: PA RN573932) |
Enumeration Date | 2016-11-30 |
Last Update Date | 2024-10-11 |