NPI | 1346087350 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11034067) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9488851) |
Enumeration Date | 2024-07-09 |
Last Update Date | 2024-07-17 |