NPI | 1316179856 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024167615) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0017139099) |
Enumeration Date | 2009-08-18 |
Last Update Date | 2024-01-03 |