NPI | 1740927557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 26157) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 215763) |
Enumeration Date | 2022-05-13 |
Last Update Date | 2022-07-05 |