NPI | 1376815241 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013976) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9264097) |
Enumeration Date | 2012-02-07 |
Last Update Date | 2023-07-03 |