NPI | 1285983544 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9221304) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9221304) |
Enumeration Date | 2012-09-02 |
Last Update Date | 2022-09-28 |