NPI | 1629541347 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP028185) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0052992) |
363LF0000X Nurse Practitioner Family (Licence: DE LG-0001180) | |
Enumeration Date | 2019-01-04 |
Last Update Date | 2023-09-27 |