NPI | 1437684271 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 21101) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 21101) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-05-01 |
Last Update Date | 2023-07-10 |