NPI | 1164944203 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9362140) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9362140) |
Enumeration Date | 2017-07-11 |
Last Update Date | 2024-10-23 |