NPI | 1457907115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5014863) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 226862) |
Enumeration Date | 2019-08-16 |
Last Update Date | 2021-10-18 |