NPI | 1235595257 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9269904) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9269904) |
Enumeration Date | 2016-01-06 |
Last Update Date | 2024-01-15 |