NPI | 1568748564 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024169232) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD AC001193) |
Enumeration Date | 2011-10-24 |
Last Update Date | 2018-06-01 |