NPI | 1700281805 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9237745) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5019332) |
363L00000X Nurse Practitioner (Licence: AL 3-001635) | |
Enumeration Date | 2014-10-31 |
Last Update Date | 2024-04-30 |