NPI | 1013798925 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11028612) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11028612) |
Enumeration Date | 2023-10-09 |
Last Update Date | 2025-05-01 |