NPI | 1306226618 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC1500X Nurse Practitioner Community Health (Licence: VA 0001070569) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001201422) |
Enumeration Date | 2015-06-02 |
Last Update Date | 2019-07-09 |