NPI | 1003319732 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9190307) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9190307) |
Enumeration Date | 2018-03-08 |
Last Update Date | 2025-07-17 |