NPI | 1639645740 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8771) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 8771-33) |
Enumeration Date | 2018-10-16 |
Last Update Date | 2024-10-29 |