NPI | 1689945420 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP151089) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 846102) |
363LA2200X Nurse Practitioner, Adult Health (Licence: CT 004742) | |
Enumeration Date | 2012-01-25 |
Last Update Date | 2021-03-30 |