NPI | 1144996448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL APRN11014877) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014877) |
Enumeration Date | 2021-08-18 |
Last Update Date | 2023-03-01 |