NPI | 1285866517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: FL ARNP9204097) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9204097) |
Enumeration Date | 2009-08-20 |
Last Update Date | 2025-08-11 |