NPI | 1245200666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024165777) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 0024165777) |
Enumeration Date | 2006-01-26 |
Last Update Date | 2024-01-19 |