NPI | 1427641745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5014120) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC BRYA-ROE54) |
Enumeration Date | 2021-02-17 |
Last Update Date | 2021-04-06 |