NPI | 1073668687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL RN9256045) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2299190) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2023-12-15 |