NPI | 1962163618 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11799-33) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 199977-30) |
Enumeration Date | 2022-01-05 |
Last Update Date | 2022-03-02 |