NPI | 1912478926 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA GAA-NP000238) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: DE L1-0050007) |
363L00000X Nurse Practitioner (Licence: ME CNP181311) | |
Enumeration Date | 2018-12-17 |
Last Update Date | 2025-04-03 |