NPI | 1164772893 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201402108NP-PP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0097262) |
Enumeration Date | 2012-09-10 |
Last Update Date | 2023-10-23 |