NPI | 1447295720 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3317992) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 3317992) |
Enumeration Date | 2006-06-19 |
Last Update Date | 2025-07-10 |