NPI | 1427454909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9356006) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002794) |
363LF0000X Nurse Practitioner, Family (Licence: CA NP95011256) | |
Enumeration Date | 2014-11-12 |
Last Update Date | 2021-07-07 |