NPI | 1376180851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11005188) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11005188) |
Enumeration Date | 2019-12-04 |
Last Update Date | 2024-02-05 |