NPI | 1699252585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R180151) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R180151) |
Enumeration Date | 2018-07-24 |
Last Update Date | 2022-02-15 |