NPI | 1770030058 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008852) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 5008852) |
363L00000X Nurse Practitioner (Licence: NC 5008852) | |
Enumeration Date | 2016-09-05 |
Last Update Date | 2024-07-15 |