NPI | 1467202671 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11034682) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03993) |
Enumeration Date | 2024-03-22 |
Last Update Date | 2024-11-01 |