NPI | 1922640184 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95013363) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3013846) |
Enumeration Date | 2019-10-09 |
Last Update Date | 2020-11-20 |