NPI | 1033627419 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9239806) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9239806) |
Enumeration Date | 2018-01-18 |
Last Update Date | 2020-01-23 |