NPI | 1952998882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R217160) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R217160) |
Enumeration Date | 2020-12-27 |
Last Update Date | 2021-08-14 |