NPI | 1669861142 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP014499) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: PA F0914508) |
Enumeration Date | 2015-01-21 |
Last Update Date | 2021-03-08 |