NPI | 1346723509 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9273808) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9273808) |
Enumeration Date | 2018-09-12 |
Last Update Date | 2021-10-21 |