NPI | 1972132306 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 8436) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61181940) |
Enumeration Date | 2020-04-07 |
Last Update Date | 2021-10-19 |