NPI | 1699241521 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024180571) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP933417) |
Enumeration Date | 2018-10-18 |
Last Update Date | 2022-07-11 |