NPI | 1811933146 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 55993) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV WV55993) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2020-04-01 |