NPI | 1356035364 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 230763) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN152571) |
Enumeration Date | 2023-06-05 |
Last Update Date | 2023-06-09 |