NPI | 1467626291 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9202041) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9202041) |
Enumeration Date | 2008-04-14 |
Last Update Date | 2023-06-27 |