NPI | 1356943690 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024181026) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001254398) |
Enumeration Date | 2020-11-11 |
Last Update Date | 2022-04-29 |