NPI | 1366138521 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024186717) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: VA 0001239734) |
Enumeration Date | 2023-04-12 |
Last Update Date | 2023-05-03 |