NPI | 1033534995 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9223560) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9223560) |
Enumeration Date | 2014-02-28 |
Last Update Date | 2023-10-11 |