NPI | 1427565829 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: FL RN9362923) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9362923) |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP11004521) | |
Enumeration Date | 2018-01-08 |
Last Update Date | 2023-09-20 |