NPI | 1679027270 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 20469) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 200987) |
Enumeration Date | 2016-08-11 |
Last Update Date | 2022-04-11 |