NPI | 1376073502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0001049) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0035337) |
Enumeration Date | 2017-06-20 |
Last Update Date | 2017-07-17 |