NPI | 1316303670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9307202) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9307202) |
Enumeration Date | 2016-01-01 |
Last Update Date | 2025-01-08 |