NPI | 1346027414 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 6605308-4405) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 6605308-3102) |
Enumeration Date | 2023-09-12 |
Last Update Date | 2023-11-28 |