NPI | 1760149736 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 290366) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 705463) |
Enumeration Date | 2021-11-24 |
Last Update Date | 2024-05-07 |