NPI | 1578194114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP021476) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN616161) |
Enumeration Date | 2020-02-03 |
Last Update Date | 2020-02-03 |