NPI | 1588060412 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 0010-05219) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-05219) |
Enumeration Date | 2014-11-04 |
Last Update Date | 2022-09-22 |