NPI | 1427564533 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9346538) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9346538) |
Enumeration Date | 2017-12-27 |
Last Update Date | 2021-01-26 |