NPI | 1447892179 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004550) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11004550) |
Enumeration Date | 2019-10-15 |
Last Update Date | 2020-05-20 |