NPI | 1851890016 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 25891) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308547) |
Enumeration Date | 2018-02-02 |
Last Update Date | 2022-05-02 |