NPI | 1770973760 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 21795) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 3764) |
Enumeration Date | 2015-01-28 |
Last Update Date | 2022-09-12 |