NPI | 1386006757 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9253385) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL aprn9253385) |
Enumeration Date | 2016-03-24 |
Last Update Date | 2022-08-24 |