NPI | 1942617956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9314534) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9314534) |
Enumeration Date | 2014-07-22 |
Last Update Date | 2022-01-30 |