NPI | 1194283184 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186140) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 637148) |
363LF0000X Nurse Practitioner, Family (Licence: MD AC002865) | |
Enumeration Date | 2019-03-08 |
Last Update Date | 2024-09-27 |