NPI | 1306542436 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024413) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9355747) |
Enumeration Date | 2023-01-31 |
Last Update Date | 2023-02-16 |