NPI | 1386343887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11022064) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN11022064) |
Enumeration Date | 2023-02-23 |
Last Update Date | 2023-03-01 |