NPI | 1275067043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9376085) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9376085) |
Enumeration Date | 2017-04-18 |
Last Update Date | 2023-01-20 |