NPI | 1831449826 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172703) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R185801) |
Enumeration Date | 2012-09-17 |
Last Update Date | 2023-12-20 |