NPI | 1538741301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024180898) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024180898) |
Enumeration Date | 2021-04-22 |
Last Update Date | 2023-12-21 |