NPI | 1922598036 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI 2750) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 7528) |
Enumeration Date | 2018-05-14 |
Last Update Date | 2020-06-19 |