NPI | 1467477273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024164743) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024164743) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2024-06-13 |