NPI | 1710485511 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178298) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 9363347) |
Enumeration Date | 2018-01-26 |
Last Update Date | 2022-08-05 |