NPI | 1013005263 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173560) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 48951) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2016-07-27 |