NPI | 1356048334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11021920) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11021920) |
Enumeration Date | 2023-02-10 |
Last Update Date | 2023-04-03 |