NPI | 1336561497 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9247481) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9247481) |
Enumeration Date | 2014-01-09 |
Last Update Date | 2025-04-22 |