NPI | 1437689239 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11012116) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA F06170516) |
Enumeration Date | 2017-06-14 |
Last Update Date | 2023-04-13 |