NPI | 1346308525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL aprn11008420) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA 85782) |
Enumeration Date | 2006-12-04 |
Last Update Date | 2023-07-25 |