NPI | 1033740287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11005928) |
Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: FL APRN11005928) |
363LF0000X Nurse Practitioner, Family (Licence: FL 11005928) | |
Enumeration Date | 2020-01-27 |
Last Update Date | 2024-06-17 |