NPI | 1841313103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177021) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP006099B) |
363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP0001593G) | |
Enumeration Date | 2007-04-09 |
Last Update Date | 2022-02-22 |