NPI | 1316618051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024182737) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015114) |
Enumeration Date | 2021-09-22 |
Last Update Date | 2024-02-19 |