NPI | 1073264347 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11017204) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 11017204) |
Enumeration Date | 2022-01-18 |
Last Update Date | 2025-03-18 |