NPI | 1760915813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A005049) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 22291) |
163W00000X Registered Nurse (Licence: AR R081506) | |
Enumeration Date | 2017-04-05 |
Last Update Date | 2023-10-13 |