NPI | 1457992497 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A156727) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 115467) |
Enumeration Date | 2019-10-01 |
Last Update Date | 2019-11-26 |