NPI | 1174239396 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023916) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11023916) |
Enumeration Date | 2023-01-31 |
Last Update Date | 2025-07-09 |