NPI | 1497101547 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173531) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001212688) |
Enumeration Date | 2016-05-08 |
Last Update Date | 2023-11-27 |