NPI | 1912417627 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5009993) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 21465) |
Enumeration Date | 2017-10-08 |
Last Update Date | 2020-08-31 |