NPI | 1578061396 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71009071A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95008039) |
Enumeration Date | 2018-01-26 |
Last Update Date | 2025-08-10 |