NPI | 1770117756 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: NV 829222) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: WA RN60582754) |
Enumeration Date | 2020-02-27 |
Last Update Date | 2023-07-25 |