NPI | 1881268514 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: UT 10380615-4405) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 10380615-3102) |
Enumeration Date | 2021-05-17 |
Last Update Date | 2021-06-16 |