NPI | 1124577887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9165104) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9165104) |
Enumeration Date | 2016-09-22 |
Last Update Date | 2023-12-22 |