NPI | 1316507049 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A156470) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ F05190456) |
Enumeration Date | 2019-06-14 |
Last Update Date | 2023-10-24 |