NPI | 1447764758 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112362) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 13952) |
363L00000X Nurse Practitioner (Licence: IA H149650) | |
Enumeration Date | 2017-11-22 |
Last Update Date | 2023-05-31 |