NPI | 1306077201 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000622) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9250119) |
Enumeration Date | 2009-07-27 |
Last Update Date | 2023-04-11 |