NPI | 1396011813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL aprn9268967) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP-9268967) |
Enumeration Date | 2012-03-29 |
Last Update Date | 2023-06-23 |