NPI | 1588223275 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: FL 11002647) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL 11002647) |
363L00000X Nurse Practitioner (Licence: FL 11002647) | |
Enumeration Date | 2019-06-06 |
Last Update Date | 2022-11-18 |