NPI | 1053844589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP3303932) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 3303932) |
Enumeration Date | 2017-04-11 |
Last Update Date | 2022-07-21 |