NPI | 1457949521 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024179886) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0001232849) |
Enumeration Date | 2021-01-05 |
Last Update Date | 2023-08-17 |