NPI | 1376041442 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 25883A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5010198) |
Enumeration Date | 2018-01-24 |
Last Update Date | 2024-10-31 |