NPI | 1790385706 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024180441) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024180441) |
Enumeration Date | 2020-10-28 |
Last Update Date | 2024-09-08 |