NPI | 1407698848 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11033630) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9488705) |
Enumeration Date | 2024-06-07 |
Last Update Date | 2024-08-08 |