NPI | 1114221546 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9248714) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 25130) |
363L00000X Nurse Practitioner (Licence: ID NP-1260A) | |
Enumeration Date | 2010-12-28 |
Last Update Date | 2024-07-24 |