NPI | 1306218243 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9345133) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN9345133) |
Enumeration Date | 2015-10-29 |
Last Update Date | 2023-01-18 |