NPI | 1215074935 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0001110064) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024164622) |
363LF0000X Nurse Practitioner, Family (Licence: MD AC000635) | |
Enumeration Date | 2007-01-31 |
Last Update Date | 2025-06-08 |