NPI | 1649933987 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024182718) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0024182718) |
Enumeration Date | 2021-10-13 |
Last Update Date | 2021-11-11 |