NPI | 1851087795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186911) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC005258) |
Enumeration Date | 2023-04-13 |
Last Update Date | 2023-09-16 |