NPI | 1497204218 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 6235) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 108014) |
363LF0000X Nurse Practitioner, Family (Licence: WI F1014387) | |
Enumeration Date | 2016-09-22 |
Last Update Date | 2024-05-24 |