NPI | 1619928090 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2712) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 138902) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2021-11-30 |