NPI | 1356587802 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9205151) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9205151) |
Enumeration Date | 2009-01-05 |
Last Update Date | 2021-11-17 |