NPI | 1639908320 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LS0200X Nurse Practitioner, School (Licence: MN A01124103) |
Additional Taxonomies | 163WU0100X Registered Nurse, Urology (Licence: WA RN60761070) |
Enumeration Date | 2024-07-30 |
Last Update Date | 2024-07-30 |