NPI | 1619644325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 65473) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN671554) |
Enumeration Date | 2021-08-30 |
Last Update Date | 2021-11-30 |