NPI | 1710297205 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8812) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305410) |
Enumeration Date | 2010-10-18 |
Last Update Date | 2021-11-02 |