NPI | 1518511799 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R32018) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ND R32018) |
Enumeration Date | 2019-07-26 |
Last Update Date | 2023-02-22 |