NPI | 1033091624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11041084) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN11041084) |
Enumeration Date | 2025-07-23 |
Last Update Date | 2025-08-22 |