NPI | 1497387195 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R39483) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 7431) |
Enumeration Date | 2020-02-10 |
Last Update Date | 2021-05-17 |