NPI | 1689117780 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0001210613) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0001210613) |
Enumeration Date | 2016-11-22 |
Last Update Date | 2023-07-07 |