NPI | 1265774186 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9272277) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9272277) |
Enumeration Date | 2013-03-18 |
Last Update Date | 2021-04-13 |