NPI | 1043916265 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186731) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VA 0002068987) |
163W00000X Registered Nurse (Licence: VA 000124986) | |
Enumeration Date | 2023-01-31 |
Last Update Date | 2023-06-15 |