NPI | 1548822257 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112844) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H155783) |
Enumeration Date | 2019-07-02 |
Last Update Date | 2019-10-25 |