NPI | 1700135696 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185600) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 211212) |
Enumeration Date | 2012-09-06 |
Last Update Date | 2023-08-03 |