NPI | 1043664105 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9352191) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014566) |
Enumeration Date | 2016-04-14 |
Last Update Date | 2021-03-15 |