NPI | 1013105840 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024165801) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 10728) |
Enumeration Date | 2007-10-05 |
Last Update Date | 2022-04-11 |