NPI | 1124164173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024164290) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001120025) |
363LF0000X Nurse Practitioner, Family (Licence: VA 0017137032) | |
Enumeration Date | 2007-01-29 |
Last Update Date | 2024-01-16 |