NPI | 1184300923 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185072) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC004902) |
Enumeration Date | 2023-06-26 |
Last Update Date | 2023-06-26 |