NPI | 1467339069 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11039363) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11039363) |
363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11039363) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11039363) | |
Enumeration Date | 2025-08-18 |
Last Update Date | 2025-08-18 |