NPI | 1922762574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: HI 54970) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 842545) |
363L00000X Nurse Practitioner (Licence: HI APRN-3428-0) | |
Enumeration Date | 2021-10-28 |
Last Update Date | 2022-03-29 |