NPI | 1902364342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178845) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC RN1035311) |
Enumeration Date | 2019-03-05 |
Last Update Date | 2020-02-18 |