NPI | 1578941738 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0001366) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV APRN002575) |
363LF0000X Nurse Practitioner Family (Licence: GA RN209521) | |
Enumeration Date | 2015-05-08 |
Last Update Date | 2022-04-08 |