NPI | 1982210431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5013705) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 280325) |
Enumeration Date | 2020-09-21 |
Last Update Date | 2021-09-08 |