NPI | 1376154591 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5013404) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 5013404) |
Enumeration Date | 2020-08-11 |
Last Update Date | 2020-08-21 |