NPI | 1083399232 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11027060) |
Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: FL 9443137) |
Enumeration Date | 2023-06-15 |
Last Update Date | 2023-07-04 |