NPI | 1518925023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173621) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R208881) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2022-07-21 |