NPI | 1902322787 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 902236) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MS 902236) |
363LP2300X Nurse Practitioner, Primary Care (Licence: MS 902236) | |
Enumeration Date | 2017-08-14 |
Last Update Date | 2019-03-14 |