NPI | 1619406188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112293) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 71627) |
Enumeration Date | 2017-06-08 |
Last Update Date | 2018-12-05 |