NPI | 1679008288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5009575) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 178795) |
Enumeration Date | 2017-04-21 |
Last Update Date | 2023-12-07 |