NPI | 1902401557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11011293) |
Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: FL RN9231690) |
Enumeration Date | 2020-12-02 |
Last Update Date | 2022-03-14 |