NPI | 1881374734 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 14596) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 10676) |
Enumeration Date | 2023-07-24 |
Last Update Date | 2024-09-12 |