NPI | 1659978872 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 10729) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 179076) |
Enumeration Date | 2020-10-01 |
Last Update Date | 2021-09-01 |