NPI | 1154804102 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024175973) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175973) |
Enumeration Date | 2018-09-14 |
Last Update Date | 2022-01-07 |