NPI | 1184085623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024173358) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173358) |
Enumeration Date | 2016-03-11 |
Last Update Date | 2025-08-15 |