NPI | 1538928460 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024189726) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001293253) |
163W00000X Registered Nurse (Licence: DC RN500003521) | |
Enumeration Date | 2024-03-14 |
Last Update Date | 2024-03-14 |