NPI | 1386855468 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178378) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP20291) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2023-08-03 |