NPI | 1912348657 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 114074-23) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 213282-4) |
363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN02198) | |
Enumeration Date | 2013-07-10 |
Last Update Date | 2025-06-23 |