NPI | 1386015816 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024174819) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9289270) |
Enumeration Date | 2015-10-09 |
Last Update Date | 2022-07-21 |