NPI | 1255949160 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11006905) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL APRN11006905) |
Enumeration Date | 2020-07-16 |
Last Update Date | 2020-10-07 |