NPI | 1083748263 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024066360) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024066360) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2023-08-09 |