NPI | 1992302616 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN323164) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 196648) |
Enumeration Date | 2020-10-06 |
Last Update Date | 2024-04-30 |