NPI | 1356073712 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MO 2022024062) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2022024062) |
363LF0000X Nurse Practitioner Family (Licence: MO 2022024062) | |
Enumeration Date | 2022-06-25 |
Last Update Date | 2024-09-10 |