NPI | 1912964115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024175379) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NH 044353-23-03) |
Enumeration Date | 2006-05-01 |
Last Update Date | 2019-07-31 |