NPI | 1457860157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175452) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC002146) |
Enumeration Date | 2017-09-25 |
Last Update Date | 2024-07-10 |