NPI | 1538841721 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H174704) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H174704) |
Enumeration Date | 2023-08-07 |
Last Update Date | 2024-08-19 |