NPI | 1457991721 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5012713) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 248330) |
Enumeration Date | 2020-01-14 |
Last Update Date | 2024-05-09 |