NPI | 1245971159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11016876) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11016876) |
Enumeration Date | 2022-04-05 |
Last Update Date | 2022-04-19 |