NPI | 1578235578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI APRN-4363) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 12.010066) |
Enumeration Date | 2021-09-29 |
Last Update Date | 2024-07-10 |