NPI | 1316591282 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1-153935) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-153935) |
Enumeration Date | 2019-07-30 |
Last Update Date | 2023-03-29 |