NPI | 1609583764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5017207) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 300665) |
Enumeration Date | 2022-10-28 |
Last Update Date | 2023-01-03 |