NPI | 1245419886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024170877) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024170877) |
Enumeration Date | 2007-10-31 |
Last Update Date | 2024-05-01 |