NPI | 1841825114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: VA 0024180088) |
Additional Taxonomies | 163WX0003X Registered Nurse Obstetric, Inpatient (Licence: TN 158703) |
Enumeration Date | 2020-03-07 |
Last Update Date | 2020-10-23 |