NPI | 1669007100 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2018042341) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2018042341) |
Enumeration Date | 2020-03-05 |
Last Update Date | 2023-08-02 |