NPI | 1073022380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9324388) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ARNP9324388) |
363LF0000X Nurse Practitioner, Family (Licence: FL rn9324388) | |
Enumeration Date | 2017-09-29 |
Last Update Date | 2022-07-21 |