NPI | 1588186886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 20961) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-140437) |
Enumeration Date | 2017-07-10 |
Last Update Date | 2024-10-17 |