NPI | 1366072951 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 086199-23) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11005795) |
Enumeration Date | 2020-01-22 |
Last Update Date | 2021-11-08 |