NPI | 1134666191 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024188331) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 22121) |
Enumeration Date | 2017-01-27 |
Last Update Date | 2025-08-27 |