NPI | 1316359003 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177649) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 18567) |
Enumeration Date | 2014-05-29 |
Last Update Date | 2022-09-14 |