NPI | 1497114383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173301) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R243140) |
363LF0000X Nurse Practitioner, Family (Licence: DC RN1057428) | |
363LF0000X Nurse Practitioner, Family (Licence: GA RN297111) | |
363LF0000X Nurse Practitioner, Family (Licence: NC 5019580) | |
Enumeration Date | 2016-02-19 |
Last Update Date | 2024-07-01 |