NPI | 1396254264 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9366440) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 9366440) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN42484) | |
Enumeration Date | 2017-09-23 |
Last Update Date | 2025-05-22 |