NPI | 1477868867 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024168879) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024168879) |
Enumeration Date | 2010-08-10 |
Last Update Date | 2024-09-09 |