NPI | 1619513793 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 223700) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN154425) |
Enumeration Date | 2019-11-22 |
Last Update Date | 2022-01-25 |