NPI | 1093049488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11004630) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 10118) |
Enumeration Date | 2009-10-01 |
Last Update Date | 2023-09-11 |