NPI | 1952463549 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024164531) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0001083670) |
Enumeration Date | 2006-12-14 |
Last Update Date | 2012-12-06 |