NPI | 1528431913 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI 2019) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 76761) |
Enumeration Date | 2015-11-06 |
Last Update Date | 2021-04-19 |