NPI | 1699235390 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5011701) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC AG01190170) |
Enumeration Date | 2019-03-20 |
Last Update Date | 2023-01-03 |