NPI | 1336695592 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173694) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024173694) |
Enumeration Date | 2016-08-28 |
Last Update Date | 2023-01-30 |