NPI | 1841929148 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185395) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001178165) |
Enumeration Date | 2022-06-10 |
Last Update Date | 2023-10-13 |