NPI | 1689022089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2015032918) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2011017712) |
Enumeration Date | 2016-05-26 |
Last Update Date | 2019-08-08 |