NPI | 1861706772 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168915) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024168915) |
Enumeration Date | 2010-08-03 |
Last Update Date | 2019-03-07 |