NPI | 1336147818 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 900388) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 900388) |
Enumeration Date | 2005-07-08 |
Last Update Date | 2025-03-25 |