NPI | 1053771279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9324550) |
Additional Taxonomies | 163WI0500X Registered Nurse Infusion Therapy (Licence: FL ARNP9324550) |
2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: FL APRN9324550) | |
Enumeration Date | 2016-03-01 |
Last Update Date | 2023-05-18 |