NPI | 1679056121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R235501) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9283365) |
Enumeration Date | 2018-09-11 |
Last Update Date | 2020-10-14 |