NPI | 1427402932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9251626) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9251626) |
Enumeration Date | 2016-04-20 |
Last Update Date | 2023-10-17 |