NPI | 1992210496 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA 60791088) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI APRN-2366) |
Enumeration Date | 2017-12-06 |
Last Update Date | 2021-07-27 |