NPI | 1437966199 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024192493) |
Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: VA 0001280102) |
363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024192493) | |
Enumeration Date | 2024-12-16 |
Last Update Date | 2025-03-19 |