NPI | 1043677024 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9310190) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9310190) |
Enumeration Date | 2016-01-22 |
Last Update Date | 2023-06-16 |