NPI | 1740530732 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5046-33) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 12409) |
Enumeration Date | 2012-09-17 |
Last Update Date | 2025-02-25 |