NPI | 1760996987 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H171254) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2018001756) |
Enumeration Date | 2017-11-27 |
Last Update Date | 2025-02-03 |