NPI | 1619280138 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: SC 4285) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 4285) |
Enumeration Date | 2010-07-26 |
Last Update Date | 2023-02-14 |