NPI | 1285988121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9173232) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9173232) |
Enumeration Date | 2012-10-30 |
Last Update Date | 2022-09-16 |