NPI | 1770308215 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024191705) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0024191705) |
Enumeration Date | 2024-11-19 |
Last Update Date | 2025-06-21 |