NPI | 1245943273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11021741) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP026319) |
Enumeration Date | 2023-01-04 |
Last Update Date | 2023-01-04 |