NPI | 1457548208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5003520) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 0050-03520) |
Enumeration Date | 2007-09-26 |
Last Update Date | 2025-07-31 |