NPI | 1437882537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184617) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001269663) |
Enumeration Date | 2022-07-06 |
Last Update Date | 2024-05-27 |