NPI | 1881755353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024085970) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0017000790) |
363L00000X Nurse Practitioner (Licence: VA 0024085970) | |
363L00000X Nurse Practitioner (Licence: VA 000105970) | |
Enumeration Date | 2006-12-12 |
Last Update Date | 2022-10-10 |