NPI | 1184856171 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9172934) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9172934) |
Enumeration Date | 2009-08-10 |
Last Update Date | 2024-02-19 |