NPI | 1407089212 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11014898) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335915) |
Enumeration Date | 2009-08-27 |
Last Update Date | 2025-05-18 |