NPI | 1679765085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024165809) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0017137892) |
Enumeration Date | 2007-08-10 |
Last Update Date | 2024-05-28 |