NPI | 1801191770 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R154451) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0000539) |
Enumeration Date | 2011-01-24 |
Last Update Date | 2021-02-02 |