NPI | 1023624921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11008447) |
Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: FL RN9476937) |
Enumeration Date | 2020-09-17 |
Last Update Date | 2024-04-01 |