NPI | 1003310103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9374748) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9374748) |
Enumeration Date | 2018-03-22 |
Last Update Date | 2024-10-25 |