NPI | 1912479874 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP019720) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP019720) |
Enumeration Date | 2018-12-17 |
Last Update Date | 2025-08-29 |