NPI | 1164774808 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0134328) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60310467) |
Enumeration Date | 2012-10-04 |
Last Update Date | 2025-09-24 |