NPI | 1700421062 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DE LG-0001350) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0030743) |
363L00000X Nurse Practitioner (Licence: DE LG-0001350) | |
Enumeration Date | 2019-11-11 |
Last Update Date | 2024-10-08 |