NPI | 1467297929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024191097) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: VA 0001296048) |
Enumeration Date | 2024-06-27 |
Last Update Date | 2024-09-12 |