NPI | 1740662824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5007656) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5007656) |
Enumeration Date | 2015-06-24 |
Last Update Date | 2023-10-30 |