NPI | 1447652037 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1-140803) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-140803) |
Enumeration Date | 2014-09-25 |
Last Update Date | 2022-03-31 |