NPI | 1750995734 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV 106983) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WV 106983) |
Enumeration Date | 2020-09-07 |
Last Update Date | 2024-08-01 |