NPI | 1356795686 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9287783) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP9287783) |
363LF0000X Nurse Practitioner, Family (Licence: FL 9287783) | |
Enumeration Date | 2016-04-23 |
Last Update Date | 2023-04-25 |