NPI | 1588258768 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024181020) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024181020) |
Enumeration Date | 2021-02-27 |
Last Update Date | 2024-09-18 |