NPI | 1619953593 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP1097) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS RN091177) |
Enumeration Date | 2005-12-21 |
Last Update Date | 2021-05-27 |