NPI | 1356125546 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA 232016) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA 232016) |
Enumeration Date | 2023-08-21 |
Last Update Date | 2023-09-25 |