NPI | 1770923484 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024174188) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006218) |
Enumeration Date | 2013-06-26 |
Last Update Date | 2018-04-25 |