NPI | 1740894492 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP022687) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA F09200601) |
163W00000X Registered Nurse (Licence: PA RN653698) | |
Enumeration Date | 2020-09-01 |
Last Update Date | 2020-11-11 |