NPI | 1992247589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024180417) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R194207) |
363LF0000X Nurse Practitioner, Family (Licence: MD R194207) | |
Enumeration Date | 2016-11-14 |
Last Update Date | 2021-02-12 |