NPI | 1972675841 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174742) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY F333506) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2024-09-25 |