NPI | 1609501980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024186436) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC NP200001680) |
Enumeration Date | 2022-07-20 |
Last Update Date | 2023-04-24 |