NPI | 1952955684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 904343) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 891932) |
Enumeration Date | 2019-07-31 |
Last Update Date | 2021-02-01 |