NPI | 1083355853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11009970) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN11009970) |
Enumeration Date | 2022-04-05 |
Last Update Date | 2025-06-13 |