NPI | 1184353666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11019914) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL RN9577088) |
Enumeration Date | 2022-06-09 |
Last Update Date | 2023-01-11 |