NPI | 1477144954 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LP-0010398) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD AC005129) |
363L00000X Nurse Practitioner (Licence: WA AP61452004) | |
Enumeration Date | 2021-01-28 |
Last Update Date | 2024-11-01 |