NPI | 1457061970 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185874) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024185874) |
363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024185874) | |
Enumeration Date | 2022-11-28 |
Last Update Date | 2023-11-16 |