NPI | 1245024959 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11038275) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11038275) |
Enumeration Date | 2025-04-07 |
Last Update Date | 2025-05-23 |