NPI | 1184174559 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9229925) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9229925) |
Enumeration Date | 2016-10-10 |
Last Update Date | 2023-03-30 |