NPI | 1013307362 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172264) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0024172264) |
363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024172264) | |
Enumeration Date | 2015-01-26 |
Last Update Date | 2023-03-08 |