NPI | 1427531094 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184045) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95009406) |
363LF0000X Nurse Practitioner, Family (Licence: CA 95009406) | |
363LF0000X Nurse Practitioner, Family (Licence: NV 832656) | |
Enumeration Date | 2018-09-10 |
Last Update Date | 2023-08-10 |