NPI | 1578005443 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024177411) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP132558) |
Enumeration Date | 2016-11-09 |
Last Update Date | 2020-01-22 |