NPI | 1093230401 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011738) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9344346) |
Enumeration Date | 2017-08-07 |
Last Update Date | 2022-08-02 |