NPI | 1427519644 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 8008) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 239029) |
Enumeration Date | 2019-03-29 |
Last Update Date | 2022-12-13 |