NPI | 1427400217 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 220442) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9262064) |
Enumeration Date | 2016-07-06 |
Last Update Date | 2024-05-20 |