NPI | 1811348824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AK 105272) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AK 105272) |
Enumeration Date | 2016-06-30 |
Last Update Date | 2022-03-23 |